IHC Health Solutions Dental Plans

Plan Name: IHC PPO 500

IHC PPO 1000

IHC PPO 1500

(Aetna Access PPO Network)

IHC 500

IHC 1000

IHC 1500

(Option to choose any Dentist)

  Plan Brochure Plan Brochure
Deductible: IHC PPO 500: $0

IHC PPO 1000: $50

IHC PPO 1500: $50

IHC 500: $0

IHC 1000: $50

IHC 1500: $50

Preventative Care:

(See Plan Brochure)

IHC PPO 500: You pay $0

IHC PPO 1000: You pay $0

IHC PPO 1500: You pay $0 or 20%

(See Plan Brochure)

IHC 500: You pay $0

IHC 1000: You pay $0

IHC 1500: You pay $0 or 20%

(See Plan Brochure)

Basic Services:

(See Plan Brochure)

IHC PPO 500: No Coverage*

IHC PPO 1000: Plan pays 50%

IHC PPO 1500: Plan pays 80%

IHC 500: No Coverage*

IHC 1000: Plan pays 50%

IHC 1500: Plan pays 80%

Major Services:

(See Plan Brochure)

IHC PPO 500: No Coverage*

IHC PPO 1000: No Coverage*

IHC PPO 1500: Plan pays 50%

IHC 500: No Coverage*

IHC 1000: No Coverage*

IHC 1500: Plan pays 50%

Orthodontics: Not Covered Not Covered
Waiting Periods: Preventative Care: None

Basic Services: 6 Months

Major Services: 12 Months

Preventative Care: None

Basic Services: 6 Months

Major Services: 12 Months

Annual Maximum: IHC PPO 500: $500

IHC PPO 1000: $1,000

IHC PPO 1500: $1,500

IHC 500: $500

IHC 1000: $1,000

IHC 1500: $1,500

Optional Add On: IHC 1000: Vision IHC PPO 1000: Vision
Application Fee: $10.00 $10.00
Additional Comments:

*

*Although these services are not covered, a discount may be available at network providers. *Although these services are not covered, a discount may be available at network providers.